Classifications

• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/70—Carbohydrates; Sugars; Derivatives thereof
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K31/00—Medicinal preparations containing organic active ingredients
  • A61K31/59—Compounds containing 9, 10- seco- cyclopenta[a]hydrophenanthrene ring systems
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P3/00—Drugs for disorders of the metabolism
  • A61P3/02—Nutrients, e.g. vitamins, minerals
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

• the invention is in the field of Medical Chemistry.
• U.S. Patent No. 4,725,596 discloses methods for treating or preventing metabolic bone disease characterized by the loss of bone mass by administering at least one compound having the formulae (I) and (II): where R 1 , R 2 and R 3 are each selected from the group consisting of hydrogen, hydroxyl, lower alkyl, acyl and O-alkyl and R 3 is selected from the group consisting of hydrogen, hydroxyl, keto, lower alkyl, acyl and O-alkyl.
• U.S. Patent No. 4,410,515 discloses the following compounds having Formula (III) which are active in maintaining calcium and phosphorus metabolism and are useful for treating hypocalcemia in animals: wherein the double bond between positions C-22 and C-23 is single or double; R 2 is hydrogen, CH 3 or CH 2 CH 3 ; X is selected from the group consisting of hydrogen and -OR 1 , where R 1 is hydrogen or a straight or branched chain glycosidic residue containing 1-20 glycosidic units per residue; with the proviso that at least one of the R 1 is glycosidic residue.
• U.S. Patent No. 5,167,953 discloses a method for the treatment of osteoporosis using a composition
• a composition comprising a compound having the formula: wherein the bond between C-22 and C-23 is a single or a double bond;
• X is hydrogen, methyl or ethyl;
• R 1 is hydrogen or a straight or branched chain glycoside residue containing 1-20 glycosidic units per residue, or R 1 is an orthoester glycoside moiety of the formula: where A represents a glucofuranosyl or glucopyranosyl ring;
• R 2 is hydrogen, lower (C 1 -C 4 )alkyl, C 7 -C 10 aralkyl, or C 6 -C 10 aryl; and
• R 3 is hydrogen or a straight on branch chain glycosidic residue; and wherein said compound is present in an amount effective to provide vitamin D to an individual when exposed to UV radiation of greater than 315 nm which is insufficient to effect the
• the present invention relates to the use of a compound having the formula given below, in the manufacture of a pharmaceutical composition for treating or preventing osteoporosis in an animal having osteoporosis or susceptible to osteoporosis.
• the bond between C-22 and C-23 is a single or a double bond
• Y 2 is hydrogen, fluorine, methyl, ethyl or OR 1
• Z 2 is F, H or X 2
• U is hydrogen, -OH or -O-(C 2 -C 4 alkyl)-OH
• Q a is CF 3 or CH 2 X 2
• Q b is CF 3 or CH 3
• R is a double bond or an epoxy group
• X 1 and X 2 are selected from the group consisting of hydrogen and OR 1
• R 1 is hydrogen or a straight or branched chain glycosidic residue containing 1-20 glycosidic units per residue, or R 1 is an orthoester glycoside moiety of the formula: wherein A represents a glycofuranos
• the invention is related to the discovery that compounds having Formula (IV) are useful in treating and preventing osteoporosis: wherein the bond between C-22 and C-23 is a single or double bond; Y 2 is hydrogen, fluorine, methyl, ethyl or OR 1 ; Z 2 is F, H or X 2 ; U is hydrogen, -OH or -O-(C 2 -C 4 alkyl)-OH; Q a is CF 3 or CH 2 X 2 ; Q b is CF 3 or CH 3 ; R is a double bond or an epoxy group; X 1 and X 2 are selected from the group consisting of hydrogen, and OR 1 , R 1 is hydrogen or a straight or branched chain glycosidic residue containing 1-20 glycosidic units per residue, or R 1 is an orthoester glycoside moiety of the Formula (V): wherein A represents a glycofuranosyl or glycopyranosyl ring; R 2 is hydrogen, lower alkyl, aralkyl,
• Any animal which experiences osteoporosis and which may benefit from the vitamin D glycosides and orthoester glycosides of Formula IV may be treated according to the present invention.
• Preferred animals are of course humans, in particular, pre- or post menopausal women. When administered to a pre-menopausal woman, it is possible to prevent osteoporosis. When administered to a post-menopausal woman, it is possible to reverse the adverse consequences of osteoporosis mentioned above, and arrest the further deterioration of the bones.
• the vitamin D glycosides and orthoester glycosides of the present invention have the distinct advantage that they promote calcium absorption through the intestine without effecting calcium mobilization from the bones.
• the vitamin D glycosides and orthoester glycosides of Formula IV are uniquely suited for the treatment of osteoporosis.
• glycosidic units are meant glycopyranosyl or glycofuranosyl, as well as their amino sugar derivatives.
• the residues may be homopolymers, random or alternating or block copolymers thereof.
• R 4 is acetyl or propionyl; phenyl, nitrophenyl, halophenyl, lower alkyl substituted phenyl, lower alkoxy substituted phenyl, and the like or benzyl, lower alkoxy substituted benzyl and the like.
• the compounds of Formula (IV) When the compounds of Formula (IV) have a double bond at position C-22 and a methyl group at C-24, they are derivatives of vitamin D 2 , whereas if the bond at that position is single, and there is a lack of C 24 alkyl, they are derivatives of vitamin D 3 .
• the compounds useful in the practice of the invention contain at least one glycoside residue at positions 1, 3, 24, 25 or 26. They may contain, however, more than one and up to five glycoside residues simultaneously.
• glycosides of 1-hydroxyvitamins D 3 or D 2 are preferred; and 1,25-dihydroxyvitamins D 3 or D 2 , 1,24-dihydroxyvitamin D 3 , 5,6-epoxy derivatives of vitamin D and its metabolites, 2- ⁇ -(3-hydroxypropoxy)-1 alpha,25-dihydroxyvitamin D 3 , as well as the side chain fluoro derivatives of 1,25-(OH) 2 vitamin D and 1-(OH) vitamin D.
• 20- and 22-oxa vitamin D derivatives including 20-oxa-1 ⁇ (OH)D, 20-oxa-1 ⁇ ,25(OH) 2 D 3 , 22-oxa-1 ⁇ (OH)D 3 and22-oxa-1 ⁇ ,25(OH)D 3 as well as pseudo-1-alpha-hydroxyvitamin D derivatives such as dihydrotachysterol and 5,6-trans vitamin D 3 and their 25-hydroxy derivatives.
• calcipotriol having the formula: See Krayballe, K., Arch. Dermatol. 125 :1647 (1989).
• glycosides include vitamin D 3 , 3 ⁇ -( ⁇ -D-glucopyranoside); vitamin D 3 , 3 ⁇ -( ⁇ -D-fructofuranoside); vitamin D 3 , 3 ⁇ -(galactosyl); vitamin D 3 , 3 ⁇ -( ⁇ -maltoside); vitamin D 3 , 3 ⁇ -( ⁇ -lactoside); vitamin D 3 , 3 ⁇ -( ⁇ -trehaloside); vitamin D 3 , 3 ⁇ -raffinoside; vitamin D 3 , 3 ⁇ -gentiobioside; 1 ⁇ -hydroxyvitamin D 3 , 3 ⁇ -( ⁇ -D-glucopyranoside); 1 ⁇ -hydroxyvitamin D 3 , 3 ⁇ -( ⁇ -D-fructofuranoside); 1 ⁇ -hydroxyvitamin D 3 , 3 ⁇ -( ⁇ -cellobioside); 1 ⁇ -hydroxy-3 ⁇ -( ⁇ -maltosyl)vitamin D 3 ; 1 ⁇ -hydroxy-3 ⁇ -raffinosylvitamin D 3 ; 1 ⁇ -hydroxy-3 ⁇ --r
• 1 ⁇ ,24-dihydroxyvitamin D 3 3 ⁇ -( ⁇ -D-glucopyranoside); 1 ⁇ ,24-dihydroxyvitamin D 3 , 3 ⁇ -( ⁇ -D-fructofuranoside); 1 ⁇ -( ⁇ -D-glycopyranosyl)-24-hydroxyvitamin D 3 ; 1 ⁇ -( ⁇ -D-fructofuranosyl)-24-hydroxyvitamin D 3 ; 1 ⁇ -hydroxy-24( ⁇ -D-fructofuranosyl) vitamin D 3 ; 1 ⁇ -hydroxy-24-( ⁇ -glycopryanosyl)vitamin D 3 ; 1 ⁇ -hydroxyl, 24-( ⁇ -maltosyl)vitamin D 3 ; 1 ⁇ -hydroxy, 24-( ⁇ -lactosyl)vitamin D 3 ; 1 ⁇ -hydroxy, 24- ⁇ -trehalosylvitamin D 3 ; 1 ⁇ -hydroxy, 24-raffinosylvitamin D 3 ; and 1 ⁇ -hydroxy, 24-gentiobiosyl
• the preferred compounds of the invention are those wherein less than all of the multiple hydroxy groups are glycosylated, most preferably those were only one of the multiple hydroxy groups is glycosylated.
• the glycosides can comprise up to 20 glycosidic units. Preferred, however, are those having less than 10, most preferred, those having 3 or less than 3 glycosidic units. Specific examples are those containing 1 or 2 glycosidic units in the glycoside residue.
• glycopyranose or glycofuranose rings or amino derivatives thereof may be fully or partially acylated or completely deacylated.
• the completely or partially acylated glycosides are useful as defined intermediates for the synthesis of the deacylated materials.
• glycopyranosyl structures glucose, mannose, galactose, gulose, allose, altrose, idose, or talose.
• the preferred ones are those derived from fructose, arabinose or xylose.
• preferred diglycosides are sucrose, cellobiose, maltose, lactose, trehalose, gentiobiose, and melibiose.
• the preferred ones may be raffinose or gentianose.
• amino derivatives are N-acetyl-D-galactosamine, N-acetyl-D-glucosamine, N-acetyl-D-mannosamine, N-acetylneuraminic acid, D-glucosamine, lyxosylamine, D-galactosamine, and the like.
• the individual glycosidic rings may be bonded by 1-1, 1-2, 1-3, 1-4, 1-5 or 1-6 bonds, most preferably 1-2, 1-4 and 1-6.
• the linkages between individual glycosidic rings may be ⁇ or ⁇ .
• the configuration of the oxygen linkage of a hydroxy group, or glycosidic residue attached to the vitamin D 3 or D 2 molecule may be either ⁇ (out of the plane of the paper) or ⁇ (into the plane of the paper). It is preferred if the configuration of the 3-hydroxy or glycosidoxy group at C-3 be ⁇ , and that, independently or simultaneously the configuration of the hydroxy or glycosidoxy at C-1 be ⁇ .
• the starting vitamin D compounds are prepared or obtained according to methods which are well known to those of ordinary skill in the art.
• the 5,6-epoxy derivatives of vitamin D 3 are obtained as described in Jpn. Kokai Tokkyo Koho JP 58,216,178 [83,216,178], Dec. 15, 1983.
• the fluoro derivatives are made or obtained as described in Shiina, et al ., Arch. Biochem. Biophys. 220 :90 (1983).
• Methods for preparing the 20- and 22-oxa vitamin D derivatives are disclosed by Abe, J., et al., Vitamin D Molecular, Cellular and Clinical Endocrinology , p. 310-319, Walter de Gruyter & Co., Berlin (1988).
• U.S. Patent No. 4,719,205 to DeLuca et al. discloses methods for the preparation of 22,23-cis-unsaturated, 1-hydroxyvitamin D compounds.
• U.S. Patent No. 4,634,692 to Partidge et al. discloses methods for the preparation of 1,25-dihydroxy-24 (R or S)-fluorovitamin D.
• Japanese Patent Application, publication no. J55 111-460 discloses methods for the preparation of 24,24-difluoro-25-hydroxyvitamin D 3 .
• the water soluble glycosidic derivatives of the aforementioned compounds may be obtained according to Holick, U.S. Patent 4,410,515.
• the vitamin D glycosyl orthoester compounds may be obtained according to U.S. Patent 4,521,410.
• the compounds of the invention can be administered in any appropriate pharmaceutically acceptable carrier for oral, parenteral, or topical administration. They can be administered by any means that treats or prevents osteoporosis in animals, especially humans.
• the dosage administered will be dependent upon the age, health and weight of the recipient, kind of concurrent treatment, if any, frequency of treatment and the nature of the effect desired.
• systemic daily dosage of 1 ⁇ -( ⁇ -glucopyranosyl)-25-hydroxyvitamin D 3 will be from 0.001 micrograms/kg to 100 micrograms/kg preferably 0.01 to 1.0 micrograms per kg of body weight. Normally, from 0.1 to 100 micrograms/kg per day of the glycoside or orthoester glycoside, in one or more dosages per day is effective to obtain the desired results.
• One of ordinary skill in the art can determine the optimal dosages and concentrations of other active vitamin D glycoside and orthoester glycoside compounds with only routine experimentation.
• the compounds can be employed in dosage forms such as tablets, capsules, powder packets, or liquid solutions, suspensions or elixirs for oral administration, sterile liquid for formulations such as solutions or suspensions for parenteral use.
• the compounds may be administered transdermally via a patch or ointment and the like.
• the active ingredient will ordinarily be present in an amount of at least 10 -6 % by weight based upon the total weight of the composition, and not more than 90% by weight.
• An inert pharmaceutically acceptable carrier is preferably used.
• Such carriers include 95% ethanol, vegetable oils, propylene glycols, saline buffers, etc.
• a control group received 0.1 ml of propylene glycol. The animals were dosed for five days.
• the blood calcium levels are normal.
• 1,25(OH) 2 D 3 causes an undesired increase in blood calcium levels. Therefore, the vitamin D glycosides and orthoester glycosides are uniquely effective for the treatment of osteoporosis by increasing in a physiologic manner the efficiency of intestinal calcium absorption and bone calcium mobilization and increasing circulating concentrations of 1,25(OH) 2 D 3 , without the side effects associated with the administration of 1,25(OH) 2 D 3 .

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• 1993
  • 1993-12-22 JP JP6515425A patent/JPH08505147A/ja active Pending
  • 1993-12-22 EP EP94904520A patent/EP0676951B1/en not_active Expired - Lifetime
  • 1993-12-22 WO PCT/US1993/012506 patent/WO1994014411A1/en active IP Right Grant
  • 1993-12-22 AU AU58538/94A patent/AU5853894A/en not_active Abandoned
  • 1993-12-22 ES ES94904520T patent/ES2173911T3/es not_active Expired - Lifetime
  • 1993-12-22 DE DE69331833T patent/DE69331833T2/de not_active Expired - Fee Related
  • 1993-12-22 CA CA002152163A patent/CA2152163A1/en not_active Abandoned
  • 1993-12-22 DK DK94904520T patent/DK0676951T3/da active
• 1994
  • 1994-04-20 US US08/230,867 patent/US5508392A/en not_active Expired - Fee Related

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